Individual
MS. KATHLEEN DAWELLA MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIMEN COLLECTOR
Contact information
Practice address
4479 BROADVIEW RD, CLEVELAND, OH 44109-4302
(216) 916-9282
(216) 823-0518
Mailing address
4479 BROADVIEW RD, CLEVELAND, OH 44109-4302
(216) 916-9282
(216) 823-0518
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
R7H4P2Q8
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356899405
NPI
OH
Enumeration date
09/19/2016
Last updated
09/19/2016
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